Latin American critical (‘Social’) epidemiology: new settings for an old dream

The present paper offers a fresh perspective from the South about the relevance of progressive Latin American public health (termed ‘collective health’) by highlighting a number of its hard scientific contributions which, unfortunately, remain almost unknown to mainstream medical and public health researchers outside Latin America. An armed form of structural greed has now placed the world on the brink of destruction. At the same time, however, fresh winds blow in the continent. This paper is an invitation to confront the menacing forces producing our unhealthy societies and an opportunity to form fraternal partnerships on the intercultural road to a better world, where only an epidemiology of dignity and happiness will make sense.

La renuncia a la equidad y la domesticación de la salud pública

Under present historical conditions of extreme social inequity, sustained by structural impoverishment, the destruction of living conditions and deterioration of environmental integrity, under the logic of big business, and precisely when the people’s organizations are working intensely in defending creatively human rights and health, academic public health evidences an exasperating passiveness; university departments, local and federal government agencies and even non-governmental organizations, keep implementing ineffective and innocuous health programs -some of them sustained by an expensive propaganda apparatus- that reproduce the same conventional plans, most of which end up reinforcing the rules of the neoliberal game. The present paper seeks to explain this historical surrender of public health; the institutional incapacity to foresee the structural roots of that flourishing pathology of inequity; and its divorce from the struggle of the most progressive social organizations. To accomplish this critique of hegemonic public health, the author analyzes the historical and epistemological roots of that “blindness” and the ideological fundaments of that political passiveness.

State Policies, Territories and Rights of Indigenous Peoples in Ecuador (1983-2012)

This work seeks to reconstruct the dynamics of the agreements and disagreements between the State and the indigenous peoples in Ecuador, emphasising particularly on two key elements: first, the indigenous peoples participation and exercise of their political rights, in particular the right to self-government and autonomy within their jurisdictions; and secondly, indigenous peoples��� degree of direct influence on public policies’ formulation and implementation, specially those directly affecting their territories, including the exploitation of natural resources. In Ecuador, during this historical period, the state has gone through three major moments in its relationship with indigenous peoples: neo - indigenism associated to developmentalism (1980-1984); multiculturalism associated to neoliberalism (1984- 2006) as one of the dominant trends over the period; and the crisis of neoliberalism and the search for national diversity and interculturalism associated to post- neoliberalism (2007-2013). Each has had a particular connotation, as to the scope and methods to respond to indigenous demands. In this context, this research aims to answer the central question: how has the Ecuadorian State met the demands of the indigenous movement in the last three decades, and how has it ensured the validity of their gradually recognized rights? And how and to what extent by doing so, it contradicts and alters the existing economic model based on the extraction of primary resources?

Ecuador

Ecuador’s total population numbers some 15,682,792 inhabitants, and includes 14 nationalities accounting for around 1,100,000 people, all joined together in a series of local, regional and national organisations. 60.3% of the Andean Kichwa live in six provinces in the Central-North Mountains; 24.1% live in the Amazon region and belong to ten nationalities; 7.3% live in the Southern Mountains; and the remaining 8.3% live in the Coastal region and the Galapagos Islands. 78.5% still live in rural areas and 21.5% in urban areas. The current Constitution of the Republic recognises the country as a “…constitutional state of law and social justice, democratic, sovereign, independent, unitary, intercultural, multinational and secular”. Over the last five years, the country has undergone a series of political and institutional reforms. At the same time, however, enforcing and guaranteeing the collective rights recognised in the Constitution has become a challenge to the process, and a permanent point of disagreement between the government, headed by the economist Rafael Correa, and the indigenous social organisations. The government’s economic action has been largely marked by an opening up of the extractive industries - oil, copper and gold - to foreign investment, either of Chinese or Belarussian origin, or from other Latin American countries such as Brazil, Chile or Argentina. This has resulted in risk to and impacts on the territorial and cultural integrity of various indigenous peoples, and an uncertainty created around the true validity of the broad collective rights enshrined in the Constitution.

Las implicaciones políticas de la relación China-América Latina: el Consenso Asiático como red de poder global y el caso brasileño (Tema Central)

This paper analyzes the People’s Republic of China economic and political ascendance in the 21st century, focusing on the evolution of its sui géneris economic development model and its significance for the relationship between China and the developing countries of the peripheral ‘Global South.’ The objective of this article is to analyze the relationship between China and Latin America in the 21st century, characterizing it as a new Center-periphery global power network based on trade and investment, which is often referred to as the ‘Asian Consensus’. The article will give special attention to the Brazilian case.